Oderich Gustavo S, Picada-Correa Mateus, Pereira Alexandre A
Division of Vascular and Endovascular Surgery, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Ann Vasc Surg. 2012 Oct;26(7):1022-9. doi: 10.1016/j.avsg.2012.03.006. Epub 2012 Jul 25.
Endovascular aortic aneurysm repair has gained widespread acceptance as the primary method of treatment of abdominal and thoracic aortic aneurysms. Difficult access because of small, narrowed, tortuous, or severely calcified iliac and femoral arteries poses a significant challenge and remains a common cause of inadvertent arterial disruption and conversion to open repair. Vascular complications associated with difficult access are associated with major morbidity and mortality. This article summarizes open surgical and endovascular alternatives to dealing with difficult iliofemoral access during endovascular aortic interventions.
血管内主动脉瘤修复术已被广泛接受为治疗腹主动脉瘤和胸主动脉瘤的主要方法。由于髂动脉和股动脉细小、狭窄、迂曲或严重钙化而导致的入路困难构成了重大挑战，并且仍然是意外动脉破裂和转为开放修复的常见原因。与入路困难相关的血管并发症与严重的发病率和死亡率相关。本文总结了在血管内主动脉介入治疗期间处理困难的髂股入路的开放手术和血管内替代方法。
